Clark Fork Valley Hospital prices
Clark Fork Valley Hospital in Plains, MT publishes its standard charges, as every US hospital must under the federal Hospital Price Transparency Rule. Below is what its own file lists for common services, next to what it has agreed to accept from insurers.
What Clark Fork Valley Hospital publishes for common services
ER visit, level 3 (moderate): listed at $252 to $331. Insurers pay a median of $252, across 5 insurers.
If you were billed the list price, you may have been charged far more than insurers typically pay. See how to use these numbers below.
| Service | List price | Cash price | Insurers pay (median) |
|---|---|---|---|
| ER visit, level 1 (minor)CPT 99281, listed as "HC ED FAC E&M VISIT LEVEL 1 CDM" | $80.24 to $139 | $80.24 to $139 | $80.23$22.15 to $139, 5 insurers |
| ER visit, level 2 (low-moderate)CPT 99282, listed as "HC ED FAC E&M VISIT LEVEL 2 CDM" | $168 to $187 | $168 to $187 | $168$42.91 to $187, 5 insurers |
| ER visit, level 3 (moderate)CPT 99283, listed as "HC ED FAC E&M VISIT LEVEL 3 CDM" | $252 to $331 | $252 to $331 | $252$73.02 to $331, 5 insurers |
| ER visit, level 4 (high)CPT 99284, listed as "HC ED FAC E&M VISIT LEVEL 4 CDM" | $364 to $624 | $364 to $624 | $364$123 to $624, 5 insurers |
| ER visit, level 5 (critical)CPT 99285, listed as "HC ED FAC E&M VISIT LEVEL 5 CDM" | $531 to $1,115 | $531 to $1,115 | $531$179 to $1,115, 5 insurers |
| Office visit, established patient, low complexityCPT 99213, listed as "HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM" | $159 to $426 | $159 to $426 | $159$67.48 to $426, 5 insurers |
| Office visit, established patient, moderate complexityCPT 99214, listed as "HC L&D TRIAGE ESTAB PATIENT LVL 4 CDM" | $246 to $527 | $246 to $527 | $246$98.97 to $527, 5 insurers |
| Routine venipuncture (blood draw)CPT 36415, listed as "HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD" | $13.68 to $96.51 | $13.68 to $96.51 | $20.85$11.62 to $96.51, 5 insurers |
| Vitamin B12 injectionCPT J3420, listed as "NAPROXEN 250 MG PO TABS [5391]" | $3.02 to $8.11 | $3.02 to $8.11 | $4.47$2.56 to $8.11, 5 insurers |
| Comprehensive metabolic panelCPT 80053, listed as "HC COMPREHEN METABOLIC PANEL" | $41.60 to $244 | $41.60 to $244 | $118$35.36 to $244, 5 insurers |
| Basic metabolic panelCPT 80048, listed as "BMP" | $143 to $147 | $143 to $147 | $143$121 to $147, 5 insurers |
| CBC with differentialCPT 85025, listed as "HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC #" | $20.12 to $106 | $20.12 to $106 | $20.80$17.10 to $106, 5 insurers |
| Lipid panelCPT 80061, listed as "HC LIPID PANEL #" | $8.94 to $173 | $8.94 to $173 | $22.10$7.60 to $173, 5 insurers |
| Hepatic function panelCPT 80076, listed as "HC HEPATIC FUNCTION PANEL" | $149 to $166 | $149 to $166 | $149$126 to $166, 5 insurers |
| X-ray, ankle, 3 viewsCPT 73610, listed as "HC XR ANKLE COMPLETE MIN 3 VIEWS" | $163 to $171 | $163 to $171 | $163$38.07 to $171, 5 insurers |
| CT abdomen, without contrastCPT 74176, listed as "HC CT ABD & PELVIS WO CONTRAST" | $2,938 | $2,938 | $2,938$196 to $2,938, 5 insurers |
| CT abdomen and pelvis, with contrastCPT 74177, listed as "HC CT ABDOMEN & PELVIS W CONTRAST" | $3,428 | $3,428 | $3,428$333 to $3,428, 5 insurers |
| CT abdomen and pelvis, with and without contrastCPT 74178, listed as "HC CT ABDOMEN & PELVIS W WO CONTRAST" | $4,537 | $4,537 | $4,537$373 to $4,537, 5 insurers |
| MRI brain, without contrastCPT 70551, listed as "HC MRI BRAIN W/O DYE" | $811 to $1,859 | $811 to $1,859 | $811$212 to $1,859, 5 insurers |
| MRI brain, with and without contrastCPT 70553, listed as "HC MRI BRAIN W/O & W/DYE" | $865 to $3,923 | $865 to $3,923 | $865$346 to $3,923, 5 insurers |
| MRI pelvis, without contrastCPT 72195, listed as "HC MRI PELVIS WO CONTRAST" | $1,816 | $1,816 | $1,816$251 to $1,816, 5 insurers |
| MRI pelvis, with and without contrastCPT 72197, listed as "HC MRI PELVIS WO & W CONTRAST" | $4,099 | $4,099 | $4,099$370 to $4,099, 5 insurers |
| Complete echocardiogram with DopplerCPT 93306, listed as "ECHO w bubble" | $537 to $2,763 | $537 to $2,763 | $1,929$205 to $2,763, 5 insurers |
| Echocardiogram, completeCPT 93307, listed as "HC ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP" | $389 to $1,122 | $389 to $1,122 | $389$144 to $1,122, 5 insurers |
| Electrocardiogram, tracing only (technical component)CPT 93005, listed as "HC ECG 12 LEAD TRACING ONLY" | $36.40 to $220 | $36.40 to $220 | $37.85$6.23 to $220, 5 insurers |
| Electrocardiogram, interpretation and report onlyCPT 93010, listed as "HC PR 93010 ECG 12 LEAD INTERP & REPT ONLY" | $37.86 to $54.29 | $37.86 to $54.29 | $37.85$8.31 to $54.28, 5 insurers |
| Laparoscopic cholecystectomyCPT 47562, listed as "Laparoscopic Cholecystectomy" | $3,878 to $19,552 | $3,878 to $19,552 | $14,144$684 to $19,552, 5 insurers |
| Knee arthroscopy, meniscectomyCPT 29881, listed as "LEFT KNEE ARTHROSCOPY" | $10,038 to $10,296 | $10,038 to $10,296 | $10,038$558 to $10,296, 5 insurers |
Source: Clark Fork Valley Hospital's standard charges file, which the hospital dated March 29, 2026. Read on September 28, 2026. View the hospital's file (a large data file). Hospitals must publish this file under 45 CFR § 180.
List price
The hospital's full charge (its "gross charge") before any discount. Few people pay it, but it is often the starting point on a bill.
Cash price
What the hospital says it accepts from patients paying without insurance.
Insurers pay
The median of the per-service rates the hospital has negotiated with insurers, shown only when at least 3 insurers report one. Your plan's rate may differ.
How to use these numbers
Uninsured or paying yourself? You can ask Clark Fork Valley Hospital to bill you its published cash price, and ask about financial assistance, which nonprofit hospitals must offer.
Insured, and the hospital is in your network? Your share should be based on your plan's negotiated rate, not the list price. If your bill or explanation of benefits shows the list price, ask the billing office why.
These figures summarize what the hospital publishes. They are not a quote, and they don't include separate physician bills.
Check your Clark Fork Valley Hospital bill for errors
The free check looks for duplicate charges, unbundling, upcoding and surprise billing. Its price comparison uses national reference pricing, separate from the hospital's published prices above.
BillMender is a document-preparation tool, not a law firm, and does not provide legal advice. We don't guarantee any outcome or dollar amount. Estimates are based on public reference pricing, not your hospital's actual contract rates.